Đang chuẩn bị nút TẢI XUỐNG, xin hãy chờ
Tải xuống
Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: "A case of bowel entrapment after penetrating injury of the pelvis: don’t forget the omentumplasty | Ritchie et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 34 http www.sjtrem.eom content 19 1 34 SCANDINAVIAN JOURNAL OF Et emergency medicine CASE REPORT Open Access A case of bowel entrapment after penetrating injury of the pelvis don t forget the omentumplasty Ewan D Ritchie1 Eelco J Veen2 Jan Olsman3 and Koop Bosscha3 Abstract Bowel entrapment within a pelvic injury is rare and difficult to diagnose. Usually it is diagnosed late because of concomitant abdominal injuries. It may present itself as an acute intestinal obstruction or more commonly as a prolonged or intermittent ileus. Therefore one should be aware of this late complication and primarily take measures for avoiding bowel entrapment. This report describes an unusual case of bowel entrapment within a pelvic fracture after a penetrating injury and discusses options for preventing such a complication. Introduction Bowel entrapment within a pelvic injury is rare and difficult to diagnose. Usually it is diagnosed late because of concomitant abdominal injuries. It may present itself as an acute intestinal obstruction or more commonly as a prolonged or intermittent ileus. Therefore one should be aware of this late complication and primarily take measures for avoiding bowel entrapment. A twenty-eight year old man was involved in a car crash sustaining a traumatic injury to the lower abdomen. A metal roadwork pole broke and went through the engine and speared the patient. The pole went in at his left groin penetrating his abdomen and came out on the other side through his sacral bone. Figure 1 After freeing the patient by cutting the metal pole on both sides he was transferred to our hospital with the pole in situ. At the emergency department the patient was examined according to the ATLS principles. The patient had sustained no further damage to the body and was hemodynamically stable. There was no medical or surgical history. There was no neurovascular damage and the function
